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SA backflow prevention device reports

Fill the OTR backflow report, JSA, Take 5, and service reports at the device or between jobs.

Get the report to OTR within seven days without rebuilding the same owner and tester blocks on every annual test.

Create SA Backflow ReportSee available forms

Your forms

SA Backflow Report

Draft · today

Backflow report

Completed · 6 May

Job pack

Completed · 3 May

9:41

SA Backflow Report

Office of the Technical Regulator

Draft

Import from job

ServiceM8 logoFergus logoXero logo

Property & site

25 King William St

Adelaide SA 5000

Licensed plumber

Saved detail

Metro Plumbing Co.

Plumbing licenceEC 18472-

Test results

Backflow testPass-
Pressure testPass-
Hot water compliancePass-

Fix before download

1 required field incomplete

All changes saved

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Forms for SA plumbing

Start filling on site, then export the PDF when you are ready.

Site safety and checks

Risk, inspection, and site records that help the crew capture what was checked while they are still on site.

Hot Works Permit form preview
Safety
Hot Works Permit

Issue a hot works permit with fire controls, a fire watch record, extra hazards, authorisation, and close-out details.

National · Building · Plumbing · Electrical · Tradie Forms

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JSA form preview
Safety
Job Safety Analysis (JSA)

Write a job safety analysis on site. Capture task steps, hazards, risk ratings, and controls, then download a signed PDF for the crew and the site.

National · Electrical · Plumbing · Draining · Gasfitting · Building · Air Conditioning · Fire Safety · Pest Control · Tradie Forms

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Permit to Work form preview
Safety
Permit to Work

Issue a permit to work with a clear validity window, controls, hazard register, authorisation, and close-out record.

National · Building · Electrical · Plumbing · Gasfitting · Tradie Forms

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Site Diary form preview
Safety
Site Diary and Daily Prestart (Site Diary)

Keep a dated record of who was on site, work completed, delays, deliveries, and safety notes, then download a signed PDF before you leave.

National · Electrical · Plumbing · Draining · Gasfitting · Building · Air Conditioning · Fire Safety · Pest Control · Tradie Forms

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Take 5 form preview
Safety
Take 5 Safety Check (Take 5)

Stop, look, assess, control, proceed. Run a two-minute pre-task safety check on your phone and download a signed Take 5 PDF.

National · Electrical · Plumbing · Draining · Gasfitting · Building · Air Conditioning · Fire Safety · Pest Control · Tradie Forms

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Completion and handover

Forms for customer handover, completion records, and job paperwork that needs a clean PDF at the end.

Job Handover form preview
Completion
Job Completion and Handover Record (Job Handover)

Record the work completed, finish the handover checklist, list anything outstanding, and capture tradie and optional customer sign-off.

National · Electrical · Plumbing · Draining · Gasfitting · Building · Air Conditioning · Fire Safety · Pest Control · Tradie Forms

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Service Report form preview
Completion
Service Report

Hand the client a clean service report before you leave. Record work performed, findings, recommendations, and optional customer sign-off.

National · Electrical · Plumbing · Draining · Gasfitting · Building · Air Conditioning · Fire Safety · Pest Control · Tradie Forms

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Invoice form preview
Completion
Trade Invoice (Invoice)

Create a clean itemised invoice for completed trade work. Empty optional sections are left off the PDF automatically.

National · Electrical · Plumbing · Draining · Gasfitting · Building · Air Conditioning · Fire Safety · Pest Control · Tradie Forms

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Quote form preview
Completion
Trade Quote (Quote)

Create a clean itemised quote for trade work. Empty optional sections are left off the PDF automatically.

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Compliance form

Certificates, declarations, and authority forms usually needed when the job is complete or ready to lodge.

SA Backflow Report form preview
Compliance
SA Backflow Prevention Device Report (SA Backflow Report)

Commission, annual test, replacement, or decommission report for backflow prevention devices. Export the official OTR PDF within 7 days.

SA · Plumbing · Draining · Office of the Technical Regulator

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Pick a template, fill it while the details are fresh, then preview and download the finished PDF before you drive away.

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  • SA Backflow ReportDraft · today
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  • NSW CCEWDraft · 3 days ago

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NSW CCEW form preview

NSW CCEW

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NSW WHS SWMS

ACMA TCA1 form preview

ACMA TCA1

QLD CoTC form preview

QLD CoTC

NT Gas Works Notification form preview

NT Gas Works Notification

QLD Form 21 form preview

QLD Form 21

NSW Fire Safety Statement form preview

NSW Fire Safety Statement

SA Backflow Report form preview

SA Backflow Report

VIC Asbestos Removal Notification form preview

VIC Asbestos Removal Notification

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SA backflow paperwork scatters after the test

What slows licensed testers on the OTR backflow report.

  • Same owner and device details every year

    Site owner contacts, file number, and device location should not be rebuilt from scratch on each Adelaide or regional visit.

  • Valve readings buried in PDF tables

    RPZ, SCV/DCV, and PTVB result rows are easy to skip on a flat PDF on your phone.

  • OTR wants the PDF within seven days

    Generic PDF editors do not match the Office of the Technical Regulator field order or lodgement expectations.

SA Backflow Report form preview

Guided plumbing forms keep compliance, inspection, and handover details moving in the right order.

Plumbing compliance paperwork in South Australia

Licensed SA plumbers and backflow testers report commissioning, annual testing, replacement, or decommissioning of backflow prevention devices. The Office of the Technical Regulator requires the report within seven days of the test or work.

Backflow prevention device report
Licensed plumbers and backflow testers complete the report after testing, commissioning, replacing, or decommissioning a backflow prevention device in SA. Send the completed PDF to the Office of the Technical Regulator within seven days. Tradie Forms does not lodge the report for you.

Official guidance: Office of the Technical Regulator (SA plumbing). Tradie Forms is not affiliated with the regulator named above.

Frequently asked questions

The OTR backflow prevention device report, JSA, Take 5, and Service Report are available. Browse the forms on this page for the full list.

The official form requires you to send the completed PDF within seven days to otr.plumbbackflow@sa.gov.au or post it to the Office of the Technical Regulator in Adelaide.

No. You fill and export the official PDF here, then email or post it to the Office of the Technical Regulator.

Yes. Save and apply tester name, licence, and phone from the certification section so repeat annual tests start faster.

Yes. Guided sections are sized for phones so you can finish on site, with validation before you download the PDF.

Explore SA plumbers forms

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All SA formsBrowse form templates for SA tradies.
Plumbing forms across AustraliaBrowse paperwork for plumbers in every state.
Browse matching formsSearch the form catalogue with the right filters already applied.
Hot Works PermitIssue a hot works permit with fire controls, a fire watch record, extra hazards, authorisation, and close-out details.
InvoiceCreate a clean itemised invoice for completed trade work. Empty optional sections are left off the PDF automatically.
Job HandoverRecord the work completed, finish the handover checklist, list anything outstanding, and capture tradie and optional customer sign-off.

Finish the SA backflow report before you leave site

Open the form, fill the guided sections, and download the finished PDF for OTR within seven days.

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